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Organization

BOHANNAN IRGENS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID BOHANNAN PT, DPT (OWNER)
(479) 597-8318
Entity
Organization

Contact information

Practice address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955
(479) 597-8318
Mailing address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2764
AR

Other

Enumeration date
01/13/2016
Last updated
04/14/2020
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